Decision Making in Clinical Monitoring: Experts, Expert Systems and Statistics

Abstract

Early detection of new trends in repeated measures of monitored variables is important in at least three clinical decision tasks; in the early detection of disease, in the detection of disease recurrence following ablative therapy, and in status monitoring such as occurs in the intensive care setting. The goal in the first two instances is to detect deviations that indicate disease early while intervention can be most effective. By detecting trends or certain prototypical changes early, the goal of status monitoring is to predict progress or provide sufficient warning of adverse outcomes so that therapy can be appropriately adjusted in a timely manner.

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